| Edwellness Llc | |
|
132 West Dixie Ave Elizabethtown KY 42701 | |
| (270) 763-3003 | |
| Not Available |
| Full Name | Edwellness Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 132 West Dixie Ave, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Rachel Jewell (CHIEF OPERATIONAL OFFICER) |
| Authorized Official Contact | 2707633003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwellness Llc Po Box 3 Elizabethtown KY 42702-0003 Ph: () - | Edwellness Llc 132 West Dixie Ave Elizabethtown KY 42701 Ph: (270) 763-3003 |
| NPI Number | 1194569061 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194569061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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